Lee, Breanna

Lee, Breanna is an individual health care provider with primary practice located at 2522 Nutter Park Dr , Beavercreek OH 45434-3500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Lee, Breanna can be contacted via phone (937) 306-8811.

Contact Information

Primary practice address
2522 Nutter Park Dr Beavercreek OH 45434-3500
Phone: (937) 306-8811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.00620

Profile Details

NPI number 1407402308
LBN Legal business name Lee, Breanna
Credentials BCBA/COBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2019
Last updated Apr 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407402308 NPPES
Ohio MEDICAID 1473276

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